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kelly1mm

(4,735 posts)
Fri Jun 29, 2012, 02:45 PM Jun 2012

Anyone else planning on retiring early due to the availability of health insurance

at 133% of the poverty level with no asset limits? I am. I am 41 and wife 43. No kids, paid for house/farm, non-tax deferred investments will generate about 17K per year so just make the 133% of poverty line limit for medicaid insurance. Since we grow most of our own food , heat with wood, have solar panels/well, and no debt, our living expenses are less than 12k per year now. We have been thinking of retiring early but health care for the next 20+ years was the big stumbling block.

I think you will see LOTS of people like my wife and I leaving the ranks of the corporate world as there are many that are working now just for the health benefits.

Is anyone else planning to retire early in 2014? Do you think this will be a trend? Will it be a good thing or a bad thing? Should open some spots for the younger generation in the workplace but lose alot of tax revenue from older workers.

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Anyone else planning on retiring early due to the availability of health insurance (Original Post) kelly1mm Jun 2012 OP
not sure u should bet your retirement on the whims of politicians if your situation is marginal nt msongs Jun 2012 #1
But for health insurance (if we had to pay for it out of pocket) our investments cover 140% of our kelly1mm Jun 2012 #6
Even if you think you can aafford to retire at 59.5 years of age, think truedelphi Jul 2012 #95
I got retired early in 2008.... NRaleighLiberal Jun 2012 #2
If your income is under 133% of the federal poverty line you would be able to switch kelly1mm Jun 2012 #20
Are you sure about the assets statement that you are making? truedelphi Jul 2012 #96
I can retire from state employment in 2033, I'll be 60. Puzzledtraveller Jun 2012 #3
Where would you get health insurance Rabid_Rabbit Jun 2012 #4
Part of ACA was that medicaid eligibility was expanded to 133% of the poverty line. kelly1mm Jun 2012 #8
Check your state's Medicaid plan first. dogman Jun 2012 #5
Definitely! I am in Maryland so our Governor is on board with the Medicaid expansion. kelly1mm Jun 2012 #10
Medicaid isn't that good. And not that many drs. will see Medicaid patients. As long as you're okay Honeycombe8 Jun 2012 #37
I am in rural maryland and all my current doctors take medicaid. Not much choice in the poorer kelly1mm Jun 2012 #39
You are lucky. I wish you further luck. (wish I lived in Maryland, except it snows a lot there!). nt Honeycombe8 Jun 2012 #40
Be careful of inflation FarCenter Jun 2012 #7
That is my NUMBER ONE concern now (health insurance was number one). I have tried to have a mix of kelly1mm Jun 2012 #21
Doesn't pay for everything zipplewrath Jun 2012 #9
Thanks for the tip - I will have to look into that. I guess I am just getting a little excited kelly1mm Jun 2012 #11
Congrats! Hey, folks we have a real job creation program here! Ghost of Huey Long Jun 2012 #12
That is what I think as well! I know TONS of people at my job site alone who kelly1mm Jun 2012 #13
stuckinodi Jun 2012 #14
Wrong. See new eligibility requirements under ACA. No asset limits after 2014. kelly1mm Jun 2012 #16
I would not retire if I were you. RebelOne Jun 2012 #15
We have lots of assets (paid for house, 400k+ in 401k, 300k in non-tax deferred accounts, kelly1mm Jun 2012 #17
That sounds like paradise! shcrane71 Jun 2012 #18
That is what we think too! Took a lot of work and sacrifice to get to this point but kelly1mm Jun 2012 #19
Are you completely off the grid? I've often dreamt of that doing that. shcrane71 Jun 2012 #22
We are grid tied with a battery backup. During the summer, we generate all our kelly1mm Jun 2012 #23
Medicaid is for the needy. forthemiddle Jun 2012 #49
Welfare Queen is a right wing Reagan term suffragette Jun 2012 #50
That is why I put "Welfare Queen" in quotes. forthemiddle Jun 2012 #53
Yes, currently Medicaid is for the needy Gormy Cuss Jun 2012 #54
And that was the point I was trying to make (badly) forthemiddle Jun 2012 #56
Medicaid claw-back provisions were instituted because of people gaming the system Gormy Cuss Jun 2012 #57
Think of it as a jobs stimulus program if it makes you feel better. My job can go kelly1mm Jun 2012 #65
ACA specifically states there will be no asset testing. It takes away the current kelly1mm Jun 2012 #63
No asset testing at the moment. Gormy Cuss Jun 2012 #69
I linked to the federal register for the no asset limit rule in post 16 if you are interested. kelly1mm Jun 2012 #73
The Social Security Act was substantially revised only four years after it became law. Gormy Cuss Jul 2012 #83
Not any more (or at least in 2014). The ACA removes the limit on assets. kelly1mm Jun 2012 #61
Your assets would disqualify you for medicaid. Marrah_G Jun 2012 #70
Not any more. Medicaid used to be for the poor (income and assets) Under ACA, the asset limit kelly1mm Jun 2012 #75
"Why should I work if I don't have too?" Marrah_G Jun 2012 #77
I hope that those who may leave the workforce allow for more opportunities for you kelly1mm Jun 2012 #81
At 9% unemployment, it's a good thing if people are able to leave the workforce Hippo_Tron Jul 2012 #89
Have you ever used Medicaid, bvar22 Jun 2012 #24
I live in rural Maryland. All my current health care providers take medicaid. nt kelly1mm Jun 2012 #25
Not under the ACA in 2014. The law specifically takes away the asset limitations for qualifying kelly1mm Jun 2012 #74
I guess you weren't paying attention to the part of the SOTUS decision that said eridani Jun 2012 #26
Nope, I read the opinion and know that that part of the decision. MD is going ahead with kelly1mm Jun 2012 #28
So fuck the people in other states who will not be able to get on Medicaid, right? n/t eridani Jul 2012 #98
I find your concerns to be genuine truedelphi Jul 2012 #97
I doubt there would be that many that would retire early because they want to. LiberalFighter Jun 2012 #27
I disagree. I believe a good number of 50+ year olds are only working for health care benefits kelly1mm Jun 2012 #31
I think this could also encourage more people to become self-employed or to join start-ups. pnwmom Jun 2012 #29
I sure wouldn't. Single payer would bmake it worth the risk eridani Jun 2012 #32
How do you know that about the insurance on the exchanges, since they haven't been set up yet? pnwmom Jun 2012 #41
I already know that the Bronze option (if I could even afford that with age rating) eridani Jun 2012 #42
You're right -- that's not enough, especially if you're talking about hospitalization costs. pnwmom Jun 2012 #44
Pardon me for dropping my jaw, but ACA has been so heavily eridani Jun 2012 #45
Looks like that translates to people purchasing insurance but not being able to use it due to cost suffragette Jun 2012 #52
Bingo. That's why medical bankruptcies are STILL 50% of all bankruptcies in MA eridani Jul 2012 #87
It's been a bit disconcerting to me.. girl gone mad Jul 2012 #88
Seems like the myth of moral hazard will still apply suffragette Jul 2012 #91
Good artticles. Thanks. n/t eridani Jul 2012 #93
Thank you for the links. You are right, 60% is not enough, and that is one of the changes pnwmom Jun 2012 #60
I really don't see why there couldn't have been just a single plan, with an actuarial eridani Jul 2012 #86
I don't know why either. Sounds like a good amendment to me. nt pnwmom Jul 2012 #90
Thank you for this link Autumn Jun 2012 #64
Do you have any extra money budgeted in for unexpected costs? NNN0LHI Jun 2012 #30
We have a $5k cushion in current yearly interest/dividend income v expenses. Property tax is kelly1mm Jun 2012 #33
Well, congratulations that is a pretty darn good cushion NNN0LHI Jun 2012 #35
I am really hoping everything works out! I didn't let my wife know about the lifting kelly1mm Jun 2012 #38
Thank you for the good wishes and one last little piece of advice NNN0LHI Jun 2012 #48
Let's Say You Did Need to Dip into Long-Term Savings for an Emergency On the Road Jul 2012 #85
Wait! You say Obamacare will make you MORE free? Courtesy Flush Jun 2012 #34
absolutely more free to pursue other , non-paying interests. I think a good many will do as I am kelly1mm Jun 2012 #36
I won't plan on it, but agree MrMickeysMom Jun 2012 #43
I am considering going out on ss disability Digit Jun 2012 #46
Go for it! rucky Jun 2012 #47
Your plan sounds very risky to me. You have a lot of years left. slackmaster Jun 2012 #51
90% of jobs are meaningless crap, not "meaningful work." hunter Jun 2012 #62
Duh! Go for it!!! Life is short. Have fun! Why wait until Zorra Jun 2012 #55
Sounds like you could make this a business cpamomfromtexas Jun 2012 #58
I want to stop working, not run some other business. We don't need the kelly1mm Jun 2012 #66
I'll be 62 next April. I was B Calm Jun 2012 #59
That is what I have heard by talking with a lot of my workmates. They want to retire kelly1mm Jun 2012 #67
Hang in there until you are 65 because you will not be eligible for Medicare until then. RebelOne Jun 2012 #68
I work in a very dangerous occupation B Calm Jul 2012 #84
The ACA allows insurance companies to charge people over 50 higher premiums Lydia Leftcoast Jun 2012 #71
Medicaid at under 133% of the poverty line has no/very small copays and that is what kelly1mm Jun 2012 #72
I have been postponing retirement because of health care... femmocrat Jun 2012 #76
Do you think this will be a trend? I think about 10% of the people 50+ may be able to retire now kelly1mm Jun 2012 #78
I sure hope so! femmocrat Jun 2012 #79
I don't know how early you are talking about but I retired at 62. I tried to get disability but southernyankeebelle Jun 2012 #80
I will be 43 and wife will be 45. We don't need disability, just medicaid. The ACA allows kelly1mm Jun 2012 #82
Good for you. southernyankeebelle Jul 2012 #94
I plan to do that, but not because of ACA! Great minds. :) joshcryer Jul 2012 #92

kelly1mm

(4,735 posts)
6. But for health insurance (if we had to pay for it out of pocket) our investments cover 140% of our
Fri Jun 29, 2012, 02:53 PM
Jun 2012

expenses just in interest/dividends. When we turn 59.5 we have another $400k we can tap. At 62 we have small pensions coming on board (about $2700 per month total) and the medicare at 65 and SS at 67. It is the time between 2014 till when we turn 59.5 (2028) that is at all problematic. If health care is covered then we should be fine.

truedelphi

(32,324 posts)
95. Even if you think you can aafford to retire at 59.5 years of age, think
Sun Jul 8, 2012, 05:45 PM
Jul 2012

About it CAREFULLY. I know the health insurance situation, even when using what is now the Calif exchange, means we would spend $ 1,060 bucks a month on our health insurance ((for the both of us.)

Then there is an automatic deductible of $ 2,500 per person before the insurers pay anything. And then there are co-pays. So if we could afford it, this totals up to over 17 thousand a year for our health insurance.

Now I know the meme out there is that you will be able to have subsidies for your insurance, but what I don't know about is whether assets will mean you can't have subsidies until your assets are gone.

Is a person's home considered an asset? Is a new car? How about retirement monies? So if you retire at 59.5 and your 400K of retirement (which is not that much given the fact that women are living to be in their mid nineties these days) is held against you and must be depleted in full before you can have subsidies, then you really need to think about that number - $ 17,000 plus for a mere 12 months of health insurance.

NRaleighLiberal

(60,022 posts)
2. I got retired early in 2008....
Fri Jun 29, 2012, 02:47 PM
Jun 2012

fortunately with enough time put in to get health coverage from the company (we pay 350/mo, which covers medical and dental for my wife and I - very lucky to have it) - it is my two girls who will benefit from the ACA the most from our family. I still dabble with a bit of consulting now and then when the opportunity arises (which isn't often these days). Mostly, I am happy for those in the US for whom the ACA will finally give some relief to.

kelly1mm

(4,735 posts)
20. If your income is under 133% of the federal poverty line you would be able to switch
Fri Jun 29, 2012, 05:52 PM
Jun 2012

to medicaid if you wanted and save that $350 per month. They will not be looking at assets anymore as of 2014.

 

Rabid_Rabbit

(131 posts)
4. Where would you get health insurance
Fri Jun 29, 2012, 02:50 PM
Jun 2012

before 65? Would you be able to get it from the big insurance companies? I am a little confused because I thought health insurance in America had to be bought through the employer.
Thanks

kelly1mm

(4,735 posts)
8. Part of ACA was that medicaid eligibility was expanded to 133% of the poverty line.
Fri Jun 29, 2012, 02:59 PM
Jun 2012

That would be about $17,500 in today's dollars for 2 people. Medicaid is government insurance for the poor. Until the ACA, there was a income cap and asset cap. The asset cap has been lifted and the income cap is now 133% of the poverty level. For those like my wife and I with no debt and paid for housing, 17K per year is more than enough to have a good standard of living.

dogman

(6,073 posts)
5. Check your state's Medicaid plan first.
Fri Jun 29, 2012, 02:53 PM
Jun 2012

Also factor in the future politics that will affect your state's program. I had to retire at 62 to save my health care. The ACA would have made my choice different after 2014. I could have continued to work till 66 if I desired.

kelly1mm

(4,735 posts)
10. Definitely! I am in Maryland so our Governor is on board with the Medicaid expansion.
Fri Jun 29, 2012, 03:06 PM
Jun 2012

The final decision will be based on what exactly the new rules are. It is my understanding that there are no asset limitations anymore per the ACA. IF (BIG IF) that turns out to be the case in 2014, then we should be OK.

I guess I am just getting a bit excited in seeing the light at the end of the working grind tunnel!

Honeycombe8

(37,648 posts)
37. Medicaid isn't that good. And not that many drs. will see Medicaid patients. As long as you're okay
Fri Jun 29, 2012, 09:38 PM
Jun 2012

As long as you're okay with that.

But no, I exceed teh minimum income limits, so I can't. But I'm in my late 50's, so all I need to do is hang on.

kelly1mm

(4,735 posts)
39. I am in rural maryland and all my current doctors take medicaid. Not much choice in the poorer
Fri Jun 29, 2012, 09:42 PM
Jun 2012

areas/Appalachia

Honeycombe8

(37,648 posts)
40. You are lucky. I wish you further luck. (wish I lived in Maryland, except it snows a lot there!). nt
Fri Jun 29, 2012, 10:24 PM
Jun 2012
 

FarCenter

(19,429 posts)
7. Be careful of inflation
Fri Jun 29, 2012, 02:56 PM
Jun 2012

The most probable way for the politicians to get out of the debt mess is through inflation.

Some late '70s level inflation at over 10% per annum will allow the government to pay back debt with a much shrunken dollar.

But it will be hell on retirees.

kelly1mm

(4,735 posts)
21. That is my NUMBER ONE concern now (health insurance was number one). I have tried to have a mix of
Fri Jun 29, 2012, 05:55 PM
Jun 2012

investments (all tax deferred accounts are in the stock market, all non tax deferred are fixed income/dividends + a bit of precious metals and our land) to help if inflation takes off.

zipplewrath

(16,646 posts)
9. Doesn't pay for everything
Fri Jun 29, 2012, 03:02 PM
Jun 2012

You might want to check out what is covered. And what you'll be paying out of pocket. Being sick can still be quite expensive. You might be able to find some sort of supplemental plan to cover what isn't.

kelly1mm

(4,735 posts)
11. Thanks for the tip - I will have to look into that. I guess I am just getting a little excited
Fri Jun 29, 2012, 03:08 PM
Jun 2012

about the posibility of retiring (maybe) in 18 months instead of 18 years!

 

Ghost of Huey Long

(322 posts)
12. Congrats! Hey, folks we have a real job creation program here!
Fri Jun 29, 2012, 04:06 PM
Jun 2012

Seriously, I am really happy for you! That is awesome. Why should we all slave away just to give half of our income to insurance companies?


Think of all the people free to retire, free to enjoy their lives without fear of getting sick and losing everything they have.

They are leaving job openings for the new generation, and this plan is no doubt creating all kinds of health care jobs. Jobs by Americans, for Americans.

And how many people stay in shitty jobs just for the health care?

I feel a new sense of freedom brewing, a great healthy awakening....freedom from stress about health care will naturally, spontaneously make us all healthier as stress is the number one cause of illness.



kelly1mm

(4,735 posts)
13. That is what I think as well! I know TONS of people at my job site alone who
Fri Jun 29, 2012, 04:11 PM
Jun 2012

work for insurance only. I would say a majority of those past 55 would be in that category (about 30 people total) at least at my job. I did not even let myself think about early retirement as I like many people did not expect it to be upheld.

My only fear is that once people realize the asset limitations to medicaid will not be in place after 2014, too many people will apply and lead to changes.

Anyway, I will be HAPPY to give my job to someone just out of school!

kelly1mm

(4,735 posts)
16. Wrong. See new eligibility requirements under ACA. No asset limits after 2014.
Fri Jun 29, 2012, 04:20 PM
Jun 2012

Here is an excerpt from the federal register:

No Resource Test or Income Disregards (Sec. 435.603(g))
Comment: Many commenters supported the proposal to prohibit
consideration of assets in determining financial eligibility for
Medicaid and CHIP. A few commenters recommended retaining the asset
test because eliminating the test entirely could incentivize people
with significant assets to stop working and could result in others with
significant assets, but minimal income, being enrolled in Medicaid at
the taxpayer's expense.
Response: Section 1902(e)(14)(C) of the Act, as added by section
2002 of the Affordable Care Act, expressly prohibits consideration of
assets in determining eligibility for individuals whose financial
eligibility is based on MAGI methods. We do not have the flexibility to
issue regulations to the contrary and are finalizing the regulation at
Sec. 435.603(g) as proposed. We note that currently almost all States
do not consider assets when determining children's eligibility for
Medicaid and nearly half of all States have also dropped the asset test
for parents.




Here is a link:
http://www.gpo.gov/fdsys/pkg/FR-2012-03-23/html/2012-6560.htm

RebelOne

(30,947 posts)
15. I would not retire if I were you.
Fri Jun 29, 2012, 04:17 PM
Jun 2012

I was forced into retirement when I was laid off my job in 2010. I was already collecting social security and decided to retire at that time because I was already 71 and knew there was no way any one would hire me at my age. My total social security income is $16,800 a year and it is barely enough. I live in a mobile home with very low lot rent. My car is paid even though it is getting old, but I don't have to drive it back and forth to work, so I am saving on gas. My only other expenses are utilities, cable, phone and Internet, plus home and car insurance and I am not having an easy time covering all those expenses.

So if you and your wife have secure jobs, I would advise that you both keep them as long as possible and sock away as much money as you can.

kelly1mm

(4,735 posts)
17. We have lots of assets (paid for house, 400k+ in 401k, 300k in non-tax deferred accounts,
Fri Jun 29, 2012, 04:25 PM
Jun 2012

raise our own food and have over 2.5 kwh of solar panels, no other debt) along with pensions that kick in at 62 if we retire now) our current living expenses are less than 12k per year and the interest on investments is just over 17k per year.

I just don't want to work at my day job any more. Lots of things to do around the homestead instead!

kelly1mm

(4,735 posts)
19. That is what we think too! Took a lot of work and sacrifice to get to this point but
Fri Jun 29, 2012, 05:09 PM
Jun 2012

once we found out we could not have kids we kind of plowed into our jobs with the goal of retiring early and enjoying our years together. Part of retiring early without millions was to have as low of overhead as possible, hence the paid for homestead, wood stove for heat/cooking, solar panels, etc. That and not being materialistic have served us well.

shcrane71

(1,721 posts)
22. Are you completely off the grid? I've often dreamt of that doing that.
Fri Jun 29, 2012, 06:49 PM
Jun 2012

No kids here either, but we do like to travel.

kelly1mm

(4,735 posts)
23. We are grid tied with a battery backup. During the summer, we generate all our
Fri Jun 29, 2012, 07:01 PM
Jun 2012

electricity + some that we "sell" to the power company. In the winter we use some energy from the grid. We could go totally off the grid if necessary by cutting back on some of the energy hogs. In 2011 our net bill for the year for electricity was $322.95. That is for the year, not monthly.

forthemiddle

(1,382 posts)
49. Medicaid is for the needy.
Sat Jun 30, 2012, 10:52 AM
Jun 2012

I don't mean to sound harsh, but Medicaid is for the needy, not people who just don't feel like working anymore.

In most States it is one of, if the the biggest financial strain, so States are already looking for legal ways to make cuts to the program. What you are literally thinking of doing is stealing from the program that a child, disabled, or truly down of there luck individual could be using.

I hope I don't get to flamed for these comments (I am pretty new to this forum), but people like you are the ones that give the term "Welfare Queen" credence.

suffragette

(12,232 posts)
50. Welfare Queen is a right wing Reagan term
Sat Jun 30, 2012, 11:15 AM
Jun 2012

and shows the type of thinking that keeps us from moving forward on the more meaningful reform of single payer or Medicare for all, which is the direction we need to pursue.

I'm curious, you say you're new, but your profile shows your join date as 2001. Is that an error?

forthemiddle

(1,382 posts)
53. That is why I put "Welfare Queen" in quotes.
Sat Jun 30, 2012, 11:37 AM
Jun 2012

I must have signed up in 2001, but I honestly don't recall it.
When Wisconsin Recalls were going on, I tried to sign up because I live in the State, and I was reading everything I could about it, and decided to comment. When I tried to sign up, it said that I already had an account, so they emailed me the info and I went from there.
I am not sure if it was me, or my husband that originally signed up, or why but that is the story.

My main problem is that I hardly ever comment on forums. I am not a "me too" poster, and I do not always express myself very well via writing. I find so many other people say exactly what I wanted to say, but say it so much better that I leave it to them. So although I may be saying "me too" when someone writes something, I don't write it in the forum. Hence my # count will always be EXTREMELY low, and people will always question my true leanings.

In this case I honestly think that until this Country gets a single payer system that someone using benefits that could be going to someone more needy is not a good thing. States are going bankrupt (or at least they are saying they are), and Medicaid is one of their largest expenses, so that WILL be the first thing cut.

Gormy Cuss

(30,884 posts)
54. Yes, currently Medicaid is for the needy
Sat Jun 30, 2012, 11:45 AM
Jun 2012

and states are only obligated to cover those who meet Federal eligibility guidelines. I'm no expert on eligibility but I think that the OP's assets would disqualify them for Medicaid under current rules. I don't know how ACA would handle it but asset testing could become an issue down the road.

forthemiddle

(1,382 posts)
56. And that was the point I was trying to make (badly)
Sat Jun 30, 2012, 11:55 AM
Jun 2012

According to the OP the new guidelines will not take assets into account. He owns his own home, and has I believe over 1/2 a million $$$ in 401K, retirement, and savings, etc. He also will have access to a pension in 20 years. So he is admitting he is not "needy" but without the asset guideline, he can get free healthcare, that in my opinion would be better spent on truly "needy" people.

I wish we had single payer, or even better co ops so the OP could buy into cheap health insurance, and not have to keep a job just for the insurance, but as of today, we don't have that, and States are going broke, so I just don't feel good about him getting free insurance, because he can, yet having 1/2 a million dollars in assets (although admittedly assets he can't use right now - 401K, pension, etc).

Gormy Cuss

(30,884 posts)
57. Medicaid claw-back provisions were instituted because of people gaming the system
Sat Jun 30, 2012, 12:20 PM
Jun 2012

and I would bet that should it become necessary or politically expedient a similar modification to eligibility would be instituted to send a clear message that those who are wealthy in assets but not showing much as income that they need to buy insurance rather than depend on Medicaid.

kelly1mm

(4,735 posts)
65. Think of it as a jobs stimulus program if it makes you feel better. My job can go
Sat Jun 30, 2012, 02:10 PM
Jun 2012

to someone else who right now can't find a job. The only reason I work off the homestead is for health insurance benefits. How many others do you think are in the same position? If I have to pay for health insurance on my own then I will not retire. I don't need my wages (I can retire now if not for health insurance) to pay my non-health insurance related living expenses.

The assets we have listed above are total, wife and I together, so I am not super well off. I know I have been LUCKY in life to get to where I am. I would like someone else to get a chance now. I have been working since I was 14 so basically 30 years by 2014. I think that is enough.

kelly1mm

(4,735 posts)
63. ACA specifically states there will be no asset testing. It takes away the current
Sat Jun 30, 2012, 02:01 PM
Jun 2012

asset tests. See post 16 for a link and the applicable section of the law.

Gormy Cuss

(30,884 posts)
69. No asset testing at the moment.
Sat Jun 30, 2012, 09:29 PM
Jun 2012

I'm speculating on future change if too many people are gaming the system by being asset-rich but not showing much in the way of income.

Since the nursing home gambit is well known I'd be surprised if there isn't language in ACA somewhere that allows for possibility of asset testing in certain circumstances.

kelly1mm

(4,735 posts)
73. I linked to the federal register for the no asset limit rule in post 16 if you are interested.
Sat Jun 30, 2012, 09:58 PM
Jun 2012

Of course an asset limit could be instituted but would require a change to the law itself (it is not a regulation, it is in the ACA law). In that same vein, the entire law could be repealed. I don't think any part of the law will be revisited any time soon.

Gormy Cuss

(30,884 posts)
83. The Social Security Act was substantially revised only four years after it became law.
Sun Jul 1, 2012, 02:33 AM
Jul 2012

That's just one example off the top of my head of a broad, sweeping new law like ACA being revisited not long after enactment.

kelly1mm

(4,735 posts)
61. Not any more (or at least in 2014). The ACA removes the limit on assets.
Sat Jun 30, 2012, 01:57 PM
Jun 2012

Post #16 has a link to the applicable section. It is only based on income now. Theoretically, if Bill Gates could structure his assets to have income at 133% of the poverty level, he would qualify.

Marrah_G

(28,581 posts)
70. Your assets would disqualify you for medicaid.
Sat Jun 30, 2012, 09:35 PM
Jun 2012

Medicaid is for the poor.... you are not poor. As a single working woman trying to put two kids through college on two part time jobs, I find your post really annoying. I have no assets, no savings, no retirement and I just lost my Commonwealth care ( Massachusetts) That I buy into because my youngest graduated from HS and now I "make too much".

You want to retire at age 40, keep your extensive assets AND get medicaid?

Seriously, WTF?

kelly1mm

(4,735 posts)
75. Not any more. Medicaid used to be for the poor (income and assets) Under ACA, the asset limit
Sat Jun 30, 2012, 10:11 PM
Jun 2012

is abolished. I posted a link to the law/federal register in post 16 if you are interested.

I have worked for 30 years since I was 14 years old. We (wife and I) have worked HARD for the past 20 and I admit I have been LUCKY to have a few good breaks and been able to get to where I am today.

Why should I work if I don't have too? I am opening a slot for the next generation that needs to build up their assets/or simply pay for life's expenses. Right now I am working just for health insurance. A lot of my peers are as well. I would hope that if some of us who don't need the wages retire, the unemployment rate goes down.

My 'extensive' assets are both mine and my wife's so less than 500k (total) each and we have never made over 100k per year. Not exactly 1% territory.

Marrah_G

(28,581 posts)
77. "Why should I work if I don't have too?"
Sat Jun 30, 2012, 10:20 PM
Jun 2012

All I can say is that if a person can have half a million and qualify for free insurance, while the working poor make "too much" to qualify for it, yet have no assets then something is seriously out of whack.

This is why we need single payer healthcare.

kelly1mm

(4,735 posts)
81. I hope that those who may leave the workforce allow for more opportunities for you
Sat Jun 30, 2012, 10:32 PM
Jun 2012

and your family in the future.

Hippo_Tron

(25,453 posts)
89. At 9% unemployment, it's a good thing if people are able to leave the workforce
Mon Jul 2, 2012, 01:28 AM
Jul 2012

And given the OP's situation, it's not as though they're really a drain on the system. They can support themselves in every way, other than health care, which under the current system can be far too expensive for a lot of people who are otherwise doing just fine.

We do indeed need single payer, precisely for this reason.

bvar22

(39,909 posts)
24. Have you ever used Medicaid,
Fri Jun 29, 2012, 07:17 PM
Jun 2012

...or do you know anyone on Medicaid?

It is definitely a 3rd Class system,
and you should check for providers in your area.




kelly1mm

(4,735 posts)
74. Not under the ACA in 2014. The law specifically takes away the asset limitations for qualifying
Sat Jun 30, 2012, 10:02 PM
Jun 2012

medicaid and looks solely at income (and citizenship/residency) for the 133% of poverty line expansion (the states don't HAVE to do this, mine, MD, already said it will). I linked to the law/federal register in post 16 if you are interested.

eridani

(51,907 posts)
26. I guess you weren't paying attention to the part of the SOTUS decision that said
Fri Jun 29, 2012, 07:34 PM
Jun 2012

--states could not be required to increase Medicaid funding. With the anticipated slashing of reimbursment rates due to deficit hysteria, lots of luck finding a doctor who will agree to treat you.

kelly1mm

(4,735 posts)
28. Nope, I read the opinion and know that that part of the decision. MD is going ahead with
Fri Jun 29, 2012, 07:45 PM
Jun 2012

the 133% plan per Gov. O'Malley so I should be OK. I live in rural MD and all my health care providers take medicare (I already checked).

truedelphi

(32,324 posts)
97. I find your concerns to be genuine
Sun Jul 8, 2012, 05:51 PM
Jul 2012

California has been very liberal in terms of bringing people aboard with county health insurance and what not. But now we are in trouble with our state deficit.

And this means state funding to clinics will be negligible. So even though "technically" people will have health insurance, once the clinics start closing, good luck with finding a doctor if you are on Medicaid.


LiberalFighter

(51,104 posts)
27. I doubt there would be that many that would retire early because they want to.
Fri Jun 29, 2012, 07:39 PM
Jun 2012

Maybe I am wrong. I think you have unusual circumstances that allow you to take the option.

kelly1mm

(4,735 posts)
31. I disagree. I believe a good number of 50+ year olds are only working for health care benefits
Fri Jun 29, 2012, 07:49 PM
Jun 2012

and can retire now on their assets but for heath insurance costs. About 1/2 of the 50+ employees at my job site have stated as such.

I think this will open a bunch of positions for those coming out of college or that are currently unemployed.

pnwmom

(108,997 posts)
29. I think this could also encourage more people to become self-employed or to join start-ups.
Fri Jun 29, 2012, 07:48 PM
Jun 2012

One of my relatives was offered a good position at a very promising start-up, but the health insurance only covered 50% of hospitalization and his wife had a precondition. If he'd been able to buy insurance through an exchange, he wouldn't have had to go work for a large company instead.

eridani

(51,907 posts)
32. I sure wouldn't. Single payer would bmake it worth the risk
Fri Jun 29, 2012, 07:55 PM
Jun 2012

Not the overpriced underinsurance available on the exchanges.

pnwmom

(108,997 posts)
41. How do you know that about the insurance on the exchanges, since they haven't been set up yet?
Fri Jun 29, 2012, 11:09 PM
Jun 2012

And any state could decide to add a public option, too. That's where the efforts should go now.

eridani

(51,907 posts)
42. I already know that the Bronze option (if I could even afford that with age rating)
Fri Jun 29, 2012, 11:54 PM
Jun 2012

--pays only 60% of costs AFTER deductibles. There is no amount of lipstick that any state could put on that pig to make it acceptable. We are over the Medicaid income limits

pnwmom

(108,997 posts)
44. You're right -- that's not enough, especially if you're talking about hospitalization costs.
Sat Jun 30, 2012, 12:14 AM
Jun 2012

I've never heard about the "Bronze" option. Do you have a link about this?

eridani

(51,907 posts)
45. Pardon me for dropping my jaw, but ACA has been so heavily
Sat Jun 30, 2012, 12:40 AM
Jun 2012

--dissected here for two years, and you have a pretty high post count. But, come to think of it, the nasty class-tiering of ACA is not something that supporters of the act feel comfortable talking about and defending. Here is one link

http://www.upmchealthplan.com/about/exchanges.html

And another
http://pnhp.org/blog/2012/04/27/quantitative-assessment-of-aca-underinsurance/

One of the major flaws of the Affordable Care Act is that underinsurance will become the new standard for health insurance in the United States. This new analysis demonstrates how the most common plans that will be purchased in the state insurance exchanges will fall well below the coverage that most people have today.

The cheapest plans in the exchanges – bronze plans with an actuarial value of 60% (patient pays an average of 40% of covered costs) – will have deductibles of $4,375 for an individual ($8,750 for families) with coinsurance of 20% (the patient pays 20% of the amount over the deductible). The deductible can be reduced to $3,475 for an individual but then the patient faces a staggering coinsurance of 40%.

Because of the availability of income-indexed subsidies, it is likely that silver plans with an actuarial value of 70% will be the most commonly selected plans. These are still well below the typical employer-sponsored plans which have an average actuarial value of 82%. The deductible for the silver plans would be $2,050 for an individual with a 20% coinsurance rate. The deductible could be reduced to $650 but, again, the coinsurance rate would increase to 40%.

suffragette

(12,232 posts)
52. Looks like that translates to people purchasing insurance but not being able to use it due to cost
Sat Jun 30, 2012, 11:21 AM
Jun 2012

for actual treatment, especially since the people purchasing the lower level plans are likely to be doing so because of lower budget in the first place.

Thanks for providing the actual numbers for usage eridani.

eridani

(51,907 posts)
87. Bingo. That's why medical bankruptcies are STILL 50% of all bankruptcies in MA
Sun Jul 1, 2012, 11:55 PM
Jul 2012

The political difficulty here is that the healthy majority (the 85% who account for only 15% of health care costs) don't know or care about this. They can afford, for the time being, the delusion that they have actually bought protection from the astronomical costs that the 15% accounting for 85% of expenses incur.

girl gone mad

(20,634 posts)
88. It's been a bit disconcerting to me..
Mon Jul 2, 2012, 01:03 AM
Jul 2012

how many people here have almost no idea what is in the bill.

You are right about MA. Bankruptcies increased after Romneycare was enacted. Many were moved onto insurance rolls, but were then only able to acquire skimpy, defective policies that are little better than no insurance (and quite possibly worse).

suffragette

(12,232 posts)
91. Seems like the myth of moral hazard will still apply
Mon Jul 2, 2012, 10:17 AM
Jul 2012

as strongly as ever, only with under-insured vs well-insured instead of uninsured vs insured.
See http://www.newyorker.com/archive/2005/08/29/050829fa_fact?currentPage=all for a great article on that.

And the point about medical bankruptcies is an important one. Here's just one link on that:
http://www.ncbi.nlm.nih.gov/pubmed/21396505


pnwmom

(108,997 posts)
60. Thank you for the links. You are right, 60% is not enough, and that is one of the changes
Sat Jun 30, 2012, 01:42 PM
Jun 2012

we should be lobbying for, now that the law has been passed and the principal has at long last been established that all Americans are entitled to health care.

There is one point in the first link that you might have missed, however. The plan does assist people with incomes up to 400% of Federal poverty level to purchase insurance at the Silver level (70%), rather than the Bronze level.

"The Exchange will provide two types of financial assistance for consumers whose household income is more than 100 percent but less than 400 percent of the Federal Poverty Level (FPL) for their family size. The FPL is updated annually and published by the U.S. Department of Health and Human Services. In 2011, the FPL for an individual and a family of four was $10,890 and $22,350, respectively.

"Premium Assistance Credits are refundable tax credits that can be claimed at the time an individual purchases a QHP. Individuals with lower income will receive more generous credits to help them purchase coverage.
Cost-Sharing Subsidies are federal payments that reduce the out-of-pocket spending limits in an individual's "Silver" health plan by up to two-thirds. Individuals with lower income will receive more generous subsidies to help them afford the cost-sharing for covered benefits under their plan."

eridani

(51,907 posts)
86. I really don't see why there couldn't have been just a single plan, with an actuarial
Sun Jul 1, 2012, 11:49 PM
Jul 2012

--value at least (and preferably slightly above) the average value of employer provided insurance. That would be a floor, not a ceiling--anyone who wanted more could pay for it on their own dime. That's what the wealthy in civilized countries do.

NNN0LHI

(67,190 posts)
30. Do you have any extra money budgeted in for unexpected costs?
Fri Jun 29, 2012, 07:49 PM
Jun 2012

Like maybe a well going dry and needing to have a new one drilled? Or your property taxes increasing a lot? Or needing some major remodeling done in a few years? Or finding out you need to hire a contractor for an expensive plumbing/electrical job? Have you priced a new furnace recently?

I guess my point is you need to think long term because things can go wrong real fast.

Don

kelly1mm

(4,735 posts)
33. We have a $5k cushion in current yearly interest/dividend income v expenses. Property tax is
Fri Jun 29, 2012, 07:56 PM
Jun 2012

capped in MD based on income. With 17k in income our taxes would max out at $510 v. the current $3,100. We have over 300K in non tax deferred accounts and another 400k in 401k's if there are problems/house repairs needed. Don't have a furnace as we heat with wood. Have pensions coming in when we turn 62 for extra income if needed 20 years down the road.

NNN0LHI

(67,190 posts)
35. Well, congratulations that is a pretty darn good cushion
Fri Jun 29, 2012, 09:13 PM
Jun 2012

Since you are both fairly young and healthy if I were you I would go for the dream.

I retired young(48) myself and have never regretted it.

Best of luck to you and your wife. Keep us informed how things are going for you over the years.



Don

kelly1mm

(4,735 posts)
38. I am really hoping everything works out! I didn't let my wife know about the lifting
Fri Jun 29, 2012, 09:38 PM
Jun 2012

of the asset limitation till this morning as I was not sure if the ACA would be upheld and she has not followed it that closely. Now we can make some last minute plans and start our 18 month countdown! I am stoked!

NNN0LHI

(67,190 posts)
48. Thank you for the good wishes and one last little piece of advice
Sat Jun 30, 2012, 09:56 AM
Jun 2012

I would not tell any acquaintances or family ... especially family, how much you have saved up.

Lot of leeches out there.

Again good luck for you and your wife.

Don

On the Road

(20,783 posts)
85. Let's Say You Did Need to Dip into Long-Term Savings for an Emergency
Sun Jul 1, 2012, 08:35 AM
Jul 2012

It is worth investigating whether the disbursement from your retirement savings would count as income. That might disqualify you for insurance in future years. Just a thought.

kelly1mm

(4,735 posts)
36. absolutely more free to pursue other , non-paying interests. I think a good many will do as I am
Fri Jun 29, 2012, 09:35 PM
Jun 2012

planning and open some slots for those just now entering the workforce.

Digit

(6,163 posts)
46. I am considering going out on ss disability
Sat Jun 30, 2012, 01:22 AM
Jun 2012

Several doctors have suggested I do this and I wanted to work, but it is difficult.

None of the jobs I qualify for offer health insurance or the pay is so low to not be able to afford it what they offer in hb.

I held out for as long as I could as I didn't want to give up.

I think it is time to throw in the towel.

It sucks.

 

slackmaster

(60,567 posts)
51. Your plan sounds very risky to me. You have a lot of years left.
Sat Jun 30, 2012, 11:17 AM
Jun 2012

You are still very young and have a lot of potential to do meaningful work.

An old friend of mine added a twist to a popular proverb. He said:

"Money can't buy you happiness, but poverty can't buy you anything."

hunter

(38,328 posts)
62. 90% of jobs are meaningless crap, not "meaningful work."
Sat Jun 30, 2012, 01:58 PM
Jun 2012

A good number of those meaningless jobs corrode the human spirit and destroy our earth's natural environment.

If someone finds a way to support themselves body-and-soul while minimizing their interactions with the existing economic system they are better off than most of us.

Our current gauges of economic productivity were installed by the devil.



Zorra

(27,670 posts)
55. Duh! Go for it!!! Life is short. Have fun! Why wait until
Sat Jun 30, 2012, 11:48 AM
Jun 2012

you are old and possibly unhealthy to (maybe) have free time to explore life? My advice is take it, and run with it, while you are still young and healthy.

You could die, or get really sick, tomorrow.

Seriously, take the money and run.

I had several free years after college before I had children to do my own thing, and have been doing my own thing pretty much since they left home. When I was young, I was full of energy for adventure, and too clueless to be afraid of much. I don't regret any of it one bit, and if I die tomorrow...well, it's been a most awesome, excellent ride. I'm enjoying the things that I do now, so don't plan to retire yet, but who knows what tomorrow will bring?

Enjoy the day. It's all we have.

I'm so very happy for you and your wife, Kelly 1mm!



cpamomfromtexas

(1,247 posts)
58. Sounds like you could make this a business
Sat Jun 30, 2012, 12:32 PM
Jun 2012

Put up a website, tell about how you're doing it, explain it to the masses that they can too.

kelly1mm

(4,735 posts)
66. I want to stop working, not run some other business. We don't need the
Sat Jun 30, 2012, 02:13 PM
Jun 2012

income anyway. We just want to enjoy the farm and each other's company. If you want to start a website about it go right ahead.

 

B Calm

(28,762 posts)
59. I'll be 62 next April. I was
Sat Jun 30, 2012, 12:34 PM
Jun 2012

planning on retiring when medicare kicked in, but now I'm seriously considering going out at 62. I'm so sick of this ball and chain attached to my ankle and would like to enjoy what few years I have left. After all they do call it our golden years. There is something fundamental wrong with this country seeing people working so late in life.

kelly1mm

(4,735 posts)
67. That is what I have heard by talking with a lot of my workmates. They want to retire
Sat Jun 30, 2012, 02:16 PM
Jun 2012

but can't due to health insurance. If that was paid for then I think a good portion (maybe 10%????) of those over 60 would retire now. Think of it as a stimulus plan.

RebelOne

(30,947 posts)
68. Hang in there until you are 65 because you will not be eligible for Medicare until then.
Sat Jun 30, 2012, 03:01 PM
Jun 2012

I worked until I was 70, and then I was laid off. I kept working because of my health insurance, which was exceptional. I was already collecting social security, but did not have Medicare because my employer's insurance was so good. I had life insurance, medical, dental and eye coverage, but I lost all that and had to go to Medicare that is $110 a month and only includes medical and that is it. There is the Advantage plan that has dental and eye care, but I cannot afford it on my meager social security.

Lydia Leftcoast

(48,217 posts)
71. The ACA allows insurance companies to charge people over 50 higher premiums
Sat Jun 30, 2012, 09:38 PM
Jun 2012

That's one of my gripes, being over 50. At present, I have a high-deductible plan that is strictly asset protection and doesn't cover anything. I can't afford any insurance that actually covers anything non-catastrophic.

kelly1mm

(4,735 posts)
72. Medicaid at under 133% of the poverty line has no/very small copays and that is what
Sat Jun 30, 2012, 09:53 PM
Jun 2012

I will be qualifying for in 2014. If you are not eligible for medicaid then you will still have premiums that will be higher if over 50. Since I wont have to worry about that from age 43-62 when the pensions kick in (and thus will be over the 133% cutoff) I should be OK.

I hope that the exchanges are affordable for all once they get finalized.

femmocrat

(28,394 posts)
76. I have been postponing retirement because of health care...
Sat Jun 30, 2012, 10:17 PM
Jun 2012

but now I am seriously considering going after the next school year.

I have been waiting for this for a long time!

kelly1mm

(4,735 posts)
78. Do you think this will be a trend? I think about 10% of the people 50+ may be able to retire now
Sat Jun 30, 2012, 10:23 PM
Jun 2012

and qualify for free/dirt cheap health insurance. I think this is a good thing as there have been MULTIPLE threads about how hard it is for those over 50 to get a job and MULTIPLE threads about how there are no openings for jobs for the younger generation. All in all, a good situation for everyone!

femmocrat

(28,394 posts)
79. I sure hope so!
Sat Jun 30, 2012, 10:27 PM
Jun 2012

If it is true, it will free up a lot of opportunities for younger workers to get on with their lives. We baby boomers have been like a hug clog in the system and this could give us the push we need!

I predict a housing boom in retirement communities! LOL

 

southernyankeebelle

(11,304 posts)
80. I don't know how early you are talking about but I retired at 62. I tried to get disability but
Sat Jun 30, 2012, 10:31 PM
Jun 2012

they wouldn't give it to me. So when I got 62 they couldn't tell me no. I have health issues. I don't know how people who are most likely worse off than me.

kelly1mm

(4,735 posts)
82. I will be 43 and wife will be 45. We don't need disability, just medicaid. The ACA allows
Sat Jun 30, 2012, 10:35 PM
Jun 2012

for medicaid for those at 133% of the poverty line (about 17,000 per couple) starting in 2014 with no asset or age limit. We have enough income to cover our living expenses if health insurance was taken care of.

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